Chondrosarcoma from the sternum: Reconstruction with titanium mesh and a transverse rectus abdominis myocutaneous flap after subtotal sternal excision
| Autor: | Hiroaki Murata, Naoyuki Horie, Tomoya Sakabe, Toshihiro Ishida, Toshikazu Kubo, Eiichi Konishi, Kazuteru Ryu, Shinichiro Nakamura, Kazutaka Koto |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Thorax
Male medicine.medical_specialty Sternum reconstruction Radiography Rectus Abdominis Surgical Flaps medicine Humans Titanium chondrosarcoma bone tumors medicine.diagnostic_test Case Study business.industry Soft tissue Magnetic resonance imaging General Medicine Middle Aged Plastic Surgery Procedures Surgical Mesh medicine.disease Magnetic Resonance Imaging titanium mesh Surgery Surgical mesh transverse rectus abdominis myocutaneous frap Chondrosarcoma business |
| Zdroj: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
| ISSN: | 1643-3750 1234-1010 |
| Popis: | Summary Background Chondrosarcoma arising from the sternum is extremely rare and is often untreatable. Removal of the sternum for malignant tumor results in large defects in bone and soft tissue, causing deformity and paradoxical movement of the chest wall and making subsequent repair of the thorax very important. We report a very rare patient with a chondrosarcoma of the sternum who underwent case chest wall resection, followed by reconstruction using a titanium mesh covered with a transverse rectus abdominis myocutaneous (TRAM) flap. Case Report A 63-year-old man was referred to our hospital with progressively enlarged swelling of his anterior chest wall. Physical examination showed a 2.5×2.0 cm mass fixed to the sternum, which was diagnosed as a chondrosarcoma based on clinical findings, imaging characteristics and incision biopsy results. The patient underwent a subtotal sternal and chest wall resection to remove the tumor, followed by reconstruction with a titanium mesh and a TRAM flap. There were no complications associated with surgery. Conclusions We report an extremely rare case of a patient who underwent subtotal sternal resection, followed by reconstruction, for a large chondrosarcoma. The elasticity and rigidity provided by the titanium mesh and the complete coverage of the surgical wound by a TRAM flap suggest that these procedures may be useful in reconstructing large defects in the chest wall. |
| Databáze: | OpenAIRE |
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